Not too sure how to address or where to even start on my problem area in my lower butt/posterior thigh area. I am 36 years old 5’3” 125lbs 22.1 BMI, lost 80 lbs, had a tummy tuck and breast augmentation 10/2024. Looking for recommendations on what the best route to plan for this area. Standing up doesn’t look as bad but when bent over even slightly you can see a major difference. I don’t think I have enough fat to transfer in that area, didn’t have lipo with my tummy tuck either. Would Renuvion or Radiesse help? Or would I need to approach it as a thigh lift and if so which kind? Or even a lower butt lift/tuck at the gluteal fold? Please advise.
Answer: Medial thigh lift is best option. Congratulations on your weight loss and thank you for your photos. I believe the best way to address your medial thigh skin looseness and laxity is to have a medial thigh lift. This will remove the loose skin, tighten and smooth the posterior aspect of your thigh and give you the most predictable best option for a well concealed incision line, and an excellent result. The crescent shaped thigh lift is not as good an option because the scar tends to migrate downward over time. If you are concerned about the laxity of the skin at the bottom of your buttocks, a completion of a lower body lift could be done across your upper buttocks and with upward traction on your buttock skin will help to smooth that area. Surgeons try to avoid Incisions in the gluteal crease as they are problematic and uncomfortable for the patient. I do not believe that Renuvion or Radiesse would be of help in this area. Have a detailed discussion with your plastic surgeon about how to maximize your thigh contour and inferior buttock contour..
Helpful
Answer: Medial thigh lift is best option. Congratulations on your weight loss and thank you for your photos. I believe the best way to address your medial thigh skin looseness and laxity is to have a medial thigh lift. This will remove the loose skin, tighten and smooth the posterior aspect of your thigh and give you the most predictable best option for a well concealed incision line, and an excellent result. The crescent shaped thigh lift is not as good an option because the scar tends to migrate downward over time. If you are concerned about the laxity of the skin at the bottom of your buttocks, a completion of a lower body lift could be done across your upper buttocks and with upward traction on your buttock skin will help to smooth that area. Surgeons try to avoid Incisions in the gluteal crease as they are problematic and uncomfortable for the patient. I do not believe that Renuvion or Radiesse would be of help in this area. Have a detailed discussion with your plastic surgeon about how to maximize your thigh contour and inferior buttock contour..
Helpful
June 2, 2025
Answer: 80 lb weight loss Congratulations on your impressive weight loss! From the photos you are not a good candidate for Radiesse or Renuvion due to the degree of skin laxity. You can consider a lower body lift and/or a thigh lift to help with the loose skin. I encourage you to visit with a board certified plastic surgeon near you to learn more.
Helpful
June 2, 2025
Answer: 80 lb weight loss Congratulations on your impressive weight loss! From the photos you are not a good candidate for Radiesse or Renuvion due to the degree of skin laxity. You can consider a lower body lift and/or a thigh lift to help with the loose skin. I encourage you to visit with a board certified plastic surgeon near you to learn more.
Helpful
April 23, 2025
Answer: Surgery results Dear gogil11, I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice. Daniel Barrett, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
Helpful
April 23, 2025
Answer: Surgery results Dear gogil11, I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice. Daniel Barrett, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
Helpful
April 16, 2025
Answer: This is only a surgical issue Injectables and energy based devices cannot help you. Care must be taken with a crescent medial thigh lift due to unstoppable forces that will pull the scar, and labia majora, downward if too much vertical skin is removed. The safest and most effective was to treat you inner thigh is with spiral thigh lift, the length of which does not need to descend beyond roughly the mid thigh. The ptotic buttock tissue is best treated with a posterior body lift.
Helpful
April 16, 2025
Answer: This is only a surgical issue Injectables and energy based devices cannot help you. Care must be taken with a crescent medial thigh lift due to unstoppable forces that will pull the scar, and labia majora, downward if too much vertical skin is removed. The safest and most effective was to treat you inner thigh is with spiral thigh lift, the length of which does not need to descend beyond roughly the mid thigh. The ptotic buttock tissue is best treated with a posterior body lift.
Helpful
April 16, 2025
Answer: Inferior buttock laxity Thank you for your question. The droop of the bottom of the buttock is a very common and vexing problem that I have been addressing for many years. In fact, I just submitted a white paper on this topic. You are an excellent candidate for a thong lift. Please visit my website to see the results. You have very similar anatomy and should be able to have an excellent result. Best wishes to you.
Helpful
April 16, 2025
Answer: Inferior buttock laxity Thank you for your question. The droop of the bottom of the buttock is a very common and vexing problem that I have been addressing for many years. In fact, I just submitted a white paper on this topic. You are an excellent candidate for a thong lift. Please visit my website to see the results. You have very similar anatomy and should be able to have an excellent result. Best wishes to you.
Helpful